» Articles » PMID: 27126722

Update on the Management of Aspirin-Exacerbated Respiratory Disease

Overview
Date 2016 Apr 30
PMID 27126722
Citations 17
Authors
Affiliations
Soon will be listed here.
Abstract

Aspirin-exacerbated respiratory disease (AERD) is an adult-onset upper and lower airway disease consisting of eosinophilic nasal polyps, asthma, and respiratory reactions to cyclooxygenase 1 (COX-1) inhibitors. Management includes guideline-based treatment of asthma and sinus disease, avoidance of COX-1 inhibitors, and for some patients aspirin desensitization followed by high-dose aspirin therapy. Despite this, many patients have inadequately controlled symptoms and require multiple sinus surgeries. In this review, we discuss the current standard approaches to the management of AERD, and we introduce several therapeutics under development that may hold promise for the treatment of AERD.

Citing Articles

Nonsteroidal antiinflammatory drug-exacerbated respiratory disease: molecular mechanism, management and treatment.

Ley-Tomas J, Xicotencatl-Tellez A, Garcia-Cruz M, Jimenez-Chobillon M Front Allergy. 2024; 5:1462985.

PMID: 39665076 PMC: 11631927. DOI: 10.3389/falgy.2024.1462985.


Aspirin-Exacerbated Respiratory Disease Complicated by Eosinophilic Esophagitis: A Case Report.

Kakehi E, Kotani K Cureus. 2024; 16(11):e74384.

PMID: 39588529 PMC: 11586787. DOI: 10.7759/cureus.74384.


Biologic Therapies across Nasal Polyp Subtypes.

Bolk K, Wise S J Pers Med. 2024; 14(4).

PMID: 38673059 PMC: 11051580. DOI: 10.3390/jpm14040432.


Efficacy of various dosing frequencies of dupilumab in patients with aspirin-exacerbated respiratory disease.

Brown A, Laidlaw T, Buchheit K, Bensko J, Corcoran R, Bailey L J Allergy Clin Immunol Pract. 2024; 12(6):1647-1648.

PMID: 38484871 PMC: 11162894. DOI: 10.1016/j.jaip.2024.03.011.


Phenotypes and Endotypes in Asthma.

McIntyre A, Viswanathan R Adv Exp Med Biol. 2023; 1426:119-142.

PMID: 37464119 DOI: 10.1007/978-3-031-32259-4_6.


References
1.
Bel E, Wenzel S, Thompson P, Prazma C, Keene O, Yancey S . Oral glucocorticoid-sparing effect of mepolizumab in eosinophilic asthma. N Engl J Med. 2014; 371(13):1189-97. DOI: 10.1056/NEJMoa1403291. View

2.
Kanaoka Y, Boyce J . Cysteinyl leukotrienes and their receptors; emerging concepts. Allergy Asthma Immunol Res. 2014; 6(4):288-95. PMC: 4077954. DOI: 10.4168/aair.2014.6.4.288. View

3.
Yoshimura T, Yoshikawa M, Otori N, Haruna S, Moriyama H . Correlation between the prostaglandin D(2)/E(2) ratio in nasal polyps and the recalcitrant pathophysiology of chronic rhinosinusitis associated with bronchial asthma. Allergol Int. 2008; 57(4):429-36. DOI: 10.2332/allergolint.o-08-545. View

4.
Sladek K, Dworski R, Soja J, Sheller J, Nizankowska E, OATES J . Eicosanoids in bronchoalveolar lavage fluid of aspirin-intolerant patients with asthma after aspirin challenge. Am J Respir Crit Care Med. 1994; 149(4 Pt 1):940-6. DOI: 10.1164/ajrccm.149.4.8143059. View

5.
Shaker M, Lobb A, Jenkins P, ORourke D, Takemoto S, Sheth S . An economic analysis of aspirin desensitization in aspirin-exacerbated respiratory disease. J Allergy Clin Immunol. 2007; 121(1):81-7. DOI: 10.1016/j.jaci.2007.06.047. View